Leslie treats adults with binge eating disorder, bulimia, and/or anorexia using a transdiagnositc individualized one-to-one outpatient treatment modality called enhanced cognitive therapy (CBT-E).
After an initial assessment appointment for individuals who are not significantly underweight, CBT-E typically consists of 20 sessions over the course of 20 weeks. For those who are underweight, CBT-E often consists of 40 sessions over the course of 40 weeks.
CBT-E is the leading evidenced-based treatment for adults with all forms of eating disorders. It was developed by Professor Christopher Fairburn and can be read about in depth here.
Leslie treats adolescents with eating disorders through outpatient Family-Based Therapy (FBT) also known as “Maudsley”. This treatment works to empower parent’s to manage their child’s eating disorder through a firm and compassionate focus. Leslie coaches parents on how to renourish their child, then coaches the family in transitioning nourishment choices back to the adolescent. The ultimate priority is on a return to normal development in eating and daily living.
FBT is currently recognized as the first line of treatment for child and adolescent eating disorders. It has been found to be effective with individuals under the age of 18, who have been ill for less than three years. The treatment is a family treatment conducted over the course of one year on average. More information on FBT can be found here.
DBT for eating disorders
Leslie supplements her CBT-E and FBT treatment with Dialectical Behavior Therapy (DBT) skills. DBT includes four sets of behavioral skills: Mindfulness, Distress Tolerance, Interpersonal Effectiveness, and Emotion Regulation. These skills can be taught in a group setting or individually.